Fau Broward Health Academic Practice Plan Inc | |
2100 E Sample Rd Ste 101 Lighthouse Point FL 33064-7574 | |
(954) 958-7195 | |
(954) 958-7115 |
Full Name | Fau Broward Health Academic Practice Plan Inc |
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Speciality | Internal Medicine |
Location | 2100 E Sample Rd Ste 101, Lighthouse Point, Florida |
Authorized Official Name and Position | Jerry Capote (MD/CEO) |
Authorized Official Contact | 9547866449 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fau Broward Health Academic Practice Plan Inc 2100 E Sample Rd Ste 101 Lighthouse Point FL 33064-7574 Ph: (954) 958-7195 | Fau Broward Health Academic Practice Plan Inc 2100 E Sample Rd Ste 101 Lighthouse Point FL 33064-7574 Ph: (954) 958-7195 |
NPI Number | 1922849439 |
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Provider Enumeration Date | 06/06/2024 |
Last Update Date | 06/06/2024 |
Medicare PECOS PAC ID | 9234670092 |
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Medicare Enrollment ID | O20240919002364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922849439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Primary |
Provider Name | Jerry Capote |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1740449545 PECOS PAC ID: 1254575772 Enrollment ID: I20130923000426 |
Provider Name | Rejo Cherian |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1134567118 PECOS PAC ID: 8325358872 Enrollment ID: I20180829004270 |
Provider Name | Rolla Nagui Zarifa |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1497169957 PECOS PAC ID: 0749407997 Enrollment ID: I20210721002223 |
Provider Name | Michael R Dobbs |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1689668865 PECOS PAC ID: 9830123777 Enrollment ID: I20230803003270 |
Provider Name | Aaron Pinnola |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1265774343 PECOS PAC ID: 2567757792 Enrollment ID: I20240919002585 |
Provider Name | Luke Alessi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629509146 PECOS PAC ID: 2961804786 Enrollment ID: I20240926002321 |
Provider Name | Daena Flaxman Erlich |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1710195961 PECOS PAC ID: 6204903156 Enrollment ID: I20240927002874 |
Provider Name | Sarah Elizabeth Langdon |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1962854133 PECOS PAC ID: 9133455942 Enrollment ID: I20240930002167 |
Provider Name | Andrew Abello Quinlan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770166068 PECOS PAC ID: 5698206795 Enrollment ID: I20240930003969 |
Provider Name | Alexandria Miller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407422819 PECOS PAC ID: 2961933866 Enrollment ID: I20241002003564 |
Provider Name | Danisette Torres |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457912792 PECOS PAC ID: 0648701136 Enrollment ID: I20241008003871 |
Provider Name | Danielle Marie Sherlock |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972130458 PECOS PAC ID: 2365973732 Enrollment ID: I20241009002961 |
Provider Name | Sharon Ben-or |
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Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1639369887 PECOS PAC ID: 2163556515 Enrollment ID: I20241017004152 |
Amal Hanna M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3170 N Federal Hwy, Ste 212, Lighthouse Point, FL 33064 Phone: 954-943-0088 | |
Arthur Bautista, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Ne 36th St Ste 2, Lighthouse Point, FL 33064 Phone: 954-786-9552 Fax: 954-786-9557 | |
Premium Practice Solutions, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5340 N Federal Hwy Ste 110, Lighthouse Point, FL 33064 Phone: 954-428-2480 Fax: 954-428-2904 | |
Centrum Medical Centers Of Lighthouse Point, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3138 N Federal Hwy, Lighthouse Point, FL 33064 Phone: 305-266-2929 Fax: 786-558-0242 | |
Associates In Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2201 Ne 52nd Street, Suite 206, Lighthouse Point, FL 33064 Phone: 954-420-5110 Fax: 954-420-5112 |